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Gene & Protein in Disease                                            RUNX1 gene in female-related cancers



            patterning and runted embryos was called runt. Later,   promoters and first exons often become hypermethylated.
            Gergen  et al. cloned the  Drosophila segmentation gene   Aberrant DNA methylation is also implicated in the
            runt . Although the protein encoded by runt was    development of chemotherapeutic resistance. It occurs
               [26]
            demonstrated to exhibit nuclear translocation, its role as   in ovarian cancer and contributes to carcinogenesis and
            a transcription factor was yet to be established. Eventually,   chemoresistance pathways. In a study, RUNX1 gene was
            in 1991, the human RUNX1 gene was cloned and observed   significantly hypomethylated and overexpressed in post-
            to be rearranged from t(8;21)(q22;q22) AML patients in   chemotherapy (CT)  primary  cultures of  ovarian  cancer
            leukemic cell DNAs . However, the role of the human   patients . Using a similar approach (methylated DNA
                                                                     [33]
                            [27]
            RUNX1 gene had not been identified. The function of the   immunoprecipitation coupled to CpG island tiling arrays),
            RUNX1 gene was discovered shortly after the discovery of   the study demonstrated that DNA hypermethylation occurs
            Drosophila runt protein and human RUNX1 protein. As a   in less invasive/early stages of ovarian tumorigenesis.
            sequence-specific DNA-binding protein that monitored the   In contrast, advanced disease has been found to be
            disease specificity of the Moloney murine leukemia virus,   associated with DNA hypomethylation of several oncogenes
            RUNX1 was purified. Besides, Ito et al. purified RUNX2,   involved in cancer progression, invasion/metastasis, and
            the RUNX1 homolog. Two subunits, a DNA-binding CBF   likely chemoresistance . Moreover, according to a study,
                                                                                 [34]
            alpha chain (RUNX1 or RUNX2) and a non-DNA-binding   mutations were  observed  in  RUNX1  and  CBFB  genes,  in
            subunit termed core binding factor β (CBFβ), were purified   which about 8 RUNX1 mutations were seen within the RUNX1
            transcription factors; the binding capacity of RUNX1 and   coding region in breast cancer cases . The runt domain,
                                                                                            [35]
            RUNX2 was significantly enhanced by the interaction with   which is crucial for DNA binding and heterodimerization,
            CBFβ .
                [28]
                                                               has all six missense mutations, with four mutations occurring
            2. RUNX1 gene                                      at two mutation hotspots (amino-acid positions 174 and
                                                               139/141/142). Notably, all RUNX1 mutations associated with
            2.1. Background of RUNX1 gene                      breast cancer appear to result in loss-of-function mutants .
                                                                                                           [36]
            The human RUNX1 gene is 260 kilobases (kb) long and   2.2. Functions of RUNX1 gene
            is found on chromosome 21  (21q22.12) . The gene
                                               [29]
            can be transcribed from either promoter 1 (distal) or   Almost all adult mammalian, blood cells develop from
            promoter 2 (proximal). As a result of alternative splicing,   HSCs in the bone marrow. HSCs are cells that may engraft
            multiple  RUNX1 isoforms can be generated. The exons   adult transplant patients and develop from immature
            encode the full-length RUNX1 protein . There are two   HSC  precursors,  which  are  known  as  pre-HSC.  RUNX1
                                            [30]
            distinct domains among the exons: the runt homology   is required for the development of all embryonic blood
            domain (RHD) or runt domain (exons 2, 3, and 4) and the   cell lineages . The trigeminal and dorsal root ganglia
                                                                         [27]
            transactivation domain (TAD) (exon 6). RUNX1 requires   include nociceptors, specialized primary sensory neurons
            these domains to facilitate DNA binding and protein-  with high stimulus thresholds, and cell bodies. They
            protein interactions, respectively. RUNX1 protein has 453   express various ion channels that convert mechanical,
            amino acids. The runt domain (residues 50 – 177), which   thermal, or chemical inputs into electrical activity .
                                                                                                           [37]
            is homologous to the p53 family, encodes its DNA-binding   Several transcription factors regulate the growth of
            capabilities as a transcription factor (TF) .      nociceptive sensory neurons. These runt proteins regulate
                                            [13]
                                                               developmental events by interacting with a common
              RUNX1 is mutated in 4.26% of breast cancer patients,              [38]
            with 1.55% of all breast cancer patients having  RUNX1   cofactor  called  CBF .  The  trigeminal  and  dorsal  root
                                                               ganglia both express RUNX1 and RUNX3. The  RUNX1
            mutation .  RUNX1 is mutated in 0.82% of ovarian   gene is responsible for coordinating the phenotypic of a
                   [31]
            cancer patients, with  RUNX1 mutation present in   large number of nociceptors .
                                                                                     [39]
            0.56% of all ovarian cancer patients . The disruption
                                           [32]
            of gene regulation, which results in the loss or gain of   In adult skin, RUNX1 regulates the activation and
            genetic function, is known to play a significant role   proliferation of hair follicle stem cells (HFSCs). RUNX1
            in carcinogenesis. The addition of a methyl group   is found in three types of embryonic skin precursors:
            to cytosine-5 position within the context of a CpG   short-term hair follicle (HF) progenitors, adult HFSCs,
            dinucleotide, mediated by DNA methyltransferases, is the   and  mesenchymal  progenitors .  RUNX1  gene  is
                                                                                          [40]
            most studied epigenetic modification. The natural control   required for the development of adult HFSCs and short-
            of DNA methylation is disrupted in cancer, resulting   term progenitors in the embryonic epithelium, but it is
            in dramatic alterations in the distribution pattern of   not required either. The  RUNX1 gene is rigidly sought
            5-methylcytosine. Heavy methylation in most chromatin   in the embryonic mesenchyme for proper adult HFSC
            is  restricted,  but  unmethylated  CpG  islands  in  gene   differentiation and long-term skin functioning  (Table 1).
                                                                                                    [41]
            Volume 1 Issue 2 (2022)                         3                      https://doi.org/10.36922/gpd.v1i2.147
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